Supplement 13
Qualification of shipping
containers
Technical supplement to
WHO Technical Report Series, No. 961, 2011
Annex 9: Model guidance for the storage and transport of time- and
temperature-sensitive pharmaceutical products
                                                     May 2015
                                              © World Health Organization 2015
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    Contents
    Abbreviations	                                                               3
    Acknowledgements	                                                            4
    Glossary	                                                                    5
    1.	Introduction	                                                            10
        1.1	Requirements	                                                       11
        1.2	Objectives	                                                         12
        1.3	 Target readership	                                                 12
    2.	Guidance	                                                                14
        2.1	 The three stages of qualification	                                 14
             2.1.1	 Design qualification	                                       14
             2.1.2	 Operational qualification	                                  15
             2.1.3	 Performance qualification	                                  16
             2.1.4	 Re-qualification of reusable container systems	             16
        2.2	 Associated materials and equipment	                                16
             2.2.1	 Test equipment for design and operational qualifications	   17
             2.2.2	 Test equipment for performance qualification	               17
        2.3	 The performance qualification test protocol	                       18
             2.3.1	 Protocol title	                                             18
             2.3.2	 Protocol approvals	                                         18
             2.3.3	Introduction	                                                18
             2.3.4	Purpose	                                                     18
             2.3.5	Scope	                                                       18
             2.3.6	 Acceptance criteria	                                        18
             2.3.7	Responsibilities	                                            18
             2.3.8	 Test procedure	                                             19
             2.3.9	 Data analysis	                                              19
        2.4	 The performance qualification test	                                19
        2.5	 The performance qualification report	                              23
    Bibliography	                                                               24
    Revision history	                                                           25
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Abbreviations
ASTM	     American Society for Testing and Materials
DQ	       design qualification
EDLM	     electronic data logging monitor
ISPE	     International Society for Pharmaceutical Engineering
ISTA	     International Safe Transit Association
OQ	       operational qualification
PDA	      Parenteral Drug Association
PQ	       performance qualification
SOP	      standard operating procedure
TTSPP 	   time- and temperature-sensitive pharmaceutical product
URS	      user requirement specification
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     WHO Expert Committee on Specifications for Pharmaceutical Preparations
    Acknowledgements
    The authors of this document are Kevin O’Donnell, Exelsius Cold Chain
    Management Consultancy and member of the United States Pharmacopeia
    Expert Committee on Packaging, Storage and Distribution, 2010–2015 cycle,
    Ben VanderPlas, Sonoco ThermoSafe and Bill Mayer, Minnesota Thermal Science.
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Glossary
Active systems: Externally powered or on-board powered systems using
electricity or another fuel source to maintain a temperature-controlled
environment inside an insulated enclosure under thermostatic regulation (e.g.
cold rooms, refrigerators, temperature-controlled trucks, refrigerated ocean
and air containers).
Advanced phase change materials (PCMs): Temperature stabilizing media
(sometimes referred to as refrigerants), chemically engineered so that their
latent heat of fusion occurs at a temperature other than zero ° Celsius, phasing
from one state of matter to another (i.e. liquid to solid) at a pre-formulated
temperature. Such materials typically comprise oils, salts, or paraffin.
Ancillary packaging components: Packaging elements used to protect the
TTSPP and support or enhance performance of the completed package. This may
include retainers, dunnage, secondary protective packaging, and temperature
data logging devices.
Associated components: Articles of packaging that are typically intended to
deliver the dosage form to the patient but are not stored in contact with the
dosage form for its entire shelf life. These components are packaged separately
in the market package and are either attached to the container upon opening or
used only when a dose is to be administered. Examples are measuring spoons,
dosing cups, and measuring syringes.
Cryogenic dry/vapour shipper: A temperature-controlled insulated packaging
container or system compatible with liquefied gases such as nitrogen used for
maintaining extremely low temperatures during shipping. A porous medium
internal to the shipping container absorbs and contains all the free flowing liquid
and does not allow it to come into contact with the product – a process known
as “charging”. A fully charged and undamaged dry/vapour shipper containing
nitrogen can maintain −196 °C for up to 10 days, depending on the unit size.
Design qualification (DQ): The process of obtaining and documenting evidence
that the premises, equipment and supporting systems and processes have
been designed in accordance with the requirements for good manufacturing
practices (GMP).1
Dunnage: Loose packing material used to protect TTSPPs from damage
during transport.
 	WHO Technical Report Series, No. 961, 2011. Annex 3: WHO good manufacturing practices for
1
  pharmaceutical products: main principles.
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     WHO Expert Committee on Specifications for Pharmaceutical Preparations
    Electronic data logging monitor (EDLM): A small portable device that
    measures and stores temperature at predetermined time intervals by means of
    an electronic sensor. They have programmable alarm capabilities, integrated
    displays, and can create reports and graphs which may be permanently stored,
    shared and analysed via proprietary hardware, software, desktop application or
    through hosted databases.
    Electronic temperature monitoring and event logger system (EDLM): System
    for recording and reporting air and/or product temperatures, with optional
    facilities for recording and reporting specific events such as door-opening or
    defrost cycles, and for issuing alarms. Such systems may be user-programmable
    and may also be remotely monitored via a satellite link.
    External distribution: Transport of TTSPPs through various steps in the
    customer’s supply chain (i.e. transport from a pharmaceutical manufacturer’s
    distribution centre, to commercial customers (including wholesalers, retailers
    and buying groups), to clinical facilities or direct to the patient). Contrast with
    internal distribution.
    Installation qualification (IQ): The process of obtaining and documenting
    evidence that the premises, equipment and supporting systems have been
    provided and installed in compliance with their design specifications.
    Internal distribution: Transport of a TTSPP within a pharmaceutical
    manufacturer’s internal supply chain (i.e. all internal transport from the
    manufacturing plant to the packaging plant and onwards to warehouses and
    distribution centres). Contrast with external distribution.
    Maximum payload: The amount of product intended to be shipped with the
    most amount of thermal mass.
    Minimum payload: The amount of product intended to be shipped with the
    least amount of thermal mass.
    Operational qualification (OQ): The process of obtaining and documenting
    evidence, under controlled conditions, that the premises, equipment and
    supporting systems operate in accordance with their design specifications.
    Packout: An assembled package that includes the product to be shipped
    (alternatively, simulated product in its primary packaging form used for its
    commercial presentation, the insulated shipper or container, any and all necessary
    auxiliary and/or associated components and ancillary packaging components
    such as temperature stabilizing medium, secondary packaging, partitions, bubble
    wrap, data loggers or other temperature monitoring units, and dunnage.
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Passive systems: Systems which maintain a temperature-controlled environment
inside an insulated enclosure, with or without thermostatic regulation, using
a finite amount of preconditioned coolant in the form of chilled or frozen gel
packs, phase change materials, dry ice or others.
Performance qualification (PQ): The process of obtaining and documenting
evidence that the premises, equipment and supporting systems, as connected
together, will consistently perform in accordance with the approved process
method and specifications.
Pharmaceutical product: Any product intended for human use or veterinary
product intended for administration to food producing animals, presented in
its finished dosage form, that is subject to control by pharmaceutical legislation
in either the exporting or the importing state and includes products for which
a prescription is required, products which may be sold to patients without a
prescription, biologicals and vaccines. Medical devices are not included.2
Prequalified shipping container system: A packaging container or packaging
system in which a DQ and OQ have already been established and documented
by the manufacturer and the user has acquired sufficient documentation to
meet their user requirement specification (URS).
Qualification protocol: A written and approved plan detailing how a qualification
will be conducted including test parameters, product characteristics, equipment
and acceptance criteria.
Qualification: Action of proving that any premises, equipment and supporting
systems work correctly and actually lead to the expected results. The meaning
of the word validation is sometimes extended to incorporate the concept
of qualification.
Refrigeration equipment: The term “refrigeration” or "refrigeration equipment”
means any equipment whose purpose is to lower air and product temperatures
and/or to control relative humidity.
Seasonal packaging solution: (Also called a dedicated packaging solution).
A  packed shipping container system, whose effective performance in different
seasons requires more than one packing configuration. These configurations
depend on seasonal variants such as summer and winter or hot and cold
season exposure.
 	Definition from WHO/QAS/08.252 Rev 1 Sept 2009. Proposal for revision of WHO good distribution
2
  practices for pharmaceutical products – Draft for comments.
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     WHO Expert Committee on Specifications for Pharmaceutical Preparations
    Secondary pack or carton or market package: The package presentation intended
    for the end-user (e.g. bottle + cap liner + dose cap + leaflets + carton) but not
    including packaging used solely for transport purposes (e.g. Tertiary carton or
    Insulated shipper). The secondary pack may contain multiple units of product.
    Shipping system: All components constituting a completed package including:
    the outer shipping container, all internal ancillary packaging components and
    temperature stabilizing medium.
    Standard operating procedure (SOP): A set of instructions having the force
    of a directive, covering those features of operations that lend themselves to a
    definite or standardized procedure without loss of effectiveness. Standard
    operating policies and procedures can be effective catalysts to drive performance
    improvement and improve organizational results.
    Storage temperature: The temperature range listed on the TTSPP label, and
    within the regulatory filings, for long-term storage.
    Temperature excursion: An event in which a TTSPP is exposed to temperatures
    outside the range(s) prescribed for storage and/or transport. Temperature ranges
    for storage and transport may be the same or different; they are determined by
    the product manufacturer, based on stability data.
    Temperature stabilizing medium: Ice or gel packs; gel bricks, bottles or pouches;
    cool water or warm water packs; phase change materials, dry ice, and rapid
    evaporation media which limit exposure of packed product to excessively high
    or low temperatures during transport: also referred to as refrigerants or coolants.
    Temperature-controlled: Includes any environment in which the temperature is
    actively or passively controlled at a level different from that of the surrounding
    environment within precise predefined limits.
    Time and temperature-sensitive pharmaceutical product (TTSPP): Any
    pharmaceutical good or product which, when not stored or transported within
    predefined environmental conditions and/or within predefined time limits, is
    degraded to the extent that it no longer performs as originally intended.
    Transport temperature profile: Anticipated ambient temperature variation and
    duration to which a TTSPP may be exposed during transport.
    Universal packaging solution: A shipping container whose proper performance
    does not require more than one packing configuration regardless of seasonal
    variants such as summer and winter or hot and cold exposure.
    User requirement specification (URS): The attributes assigned by the user
    in advance of a qualification test to establish minimum performance limits.
    Sometimes referred to as a functional requirements document.
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Validation: Documented testing performed under highly controlled conditions,
demonstrating that processes, methods, and systems consistently produce results
meeting predetermined acceptance criteria.3
 	Parenteral Drug Association (PDA) Technical Report No. 39: Guidance for temperature controlled medicinal
3
  products: Maintaining the quality of temperature-sensitive medicinal products through the transportation
  environment. Bethesda (MD): PDA; 2007.
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         WHO Expert Committee on Specifications for Pharmaceutical Preparations
     1. Introduction
     This technical supplement has been written to amplify the recommendations
     given in sections 6.8.1, 6.8.3 and 6.8.4 of the WHO Technical Report Series
     No. 961, 2011, Annex 9: Model guidance for the storage and transport of time-
     and temperature-sensitive pharmaceutical products.4 The document covers
     the qualification of all single-use and reusable active, passive, hybrid, and
     cryogenic dry/vapour shipping containers or systems used for the transport
     of a time- and temperature-sensitive pharmaceutical product (TTSPP) in
     external distribution.
              The principal focus is on performance qualification (PQ). The document
     also includes a brief introduction to the requirements and technical resources
     needed for design qualification (DQ) and operational qualification (OQ)
     because these activities need to be understood by those responsible for assessing
     and procuring third-party container systems. The supplement should be read
     in conjunction with the companion Technical Supplement, Transport route
     profiling qualification.
          What is qualification?
          In the context of this series of Technical Supplements, qualification is an
          inspection and testing process used to establish that a piece of equipment
          or a physical installation is fit for purpose in the operational context within
          which it will be used. There are typically three stages in the process. Each
          stage must be successfully completed before the next one begins.
          Design qualification (stage 1 for equipment): Establish by laboratory
          testing under tightly controlled conditions that a specific item of equipment
          performs in accordance with the user requirement specification (URS).
          While design qualification demonstrates compliance with the URS and
          associated test protocols, it does not prove that the equipment will be
          suitable in a specific operating environment because the URS and the test
          procedures are unlikely to reflect the full range of operating conditions.
      	http://apps.who.int/medicinedocs/documents/s18683en/s18683en.pdf
     4
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    Installation qualification (stage 1 for installations): Establish by
    documented inspection and testing that an installation 5 that has been
    assembled in a specific location is fully in accordance with the URS and
    installation drawings.
    Operational qualification (stage 2): Establish by further documented
    testing under controlled conditions that this equipment or installation is
    likely to perform as intended in the operating environment in which it
    will be used.
    Performance qualification (stage 3): Carry out a final stage of documented
    testing to establish with a high degree of assurance that the equipment or
    installation, together with all associated systems, does indeed perform as
    intended under routine operating conditions.
5
1.1	     Requirements
Transport operators and end-users need to be sure that TTSPPs are delivered
in container systems that are capable of maintaining a predefined internal
temperature range during transport, can minimize product degradation as
a result of temperature-sensitivity, and can meet the product stability profile
requirements stated by the pharmaceutical manufacturer. Regulatory authorities
and other interested parties require documented evidence that such assurance
and compliance can be demonstrated and maintained.
          Every shipping container system must be fully qualified to show that it
is “fit for purpose” and capable of maintaining a TTSPP within the temperature
range needed to meet the product manufacturer’s stability profile, under the
anticipated transport conditions. Qualification must also demonstrate that
the system can sustain handling and transport while protecting the physical
integrity of the product. These multiple challenges are described in the user
requirement specification (URS). Figure 1 illustrates the two types of passive
container covered by this document. Active containers come in many types and
are not illustrated.
 	The installation will typically incorporate components that have been design qualified.
5
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         WHO Expert Committee on Specifications for Pharmaceutical Preparations
     Figure 1
     Generic passive containers with coolant packs (WHO)
             As noted above, qualification consists of three sequential testing stages:
     DQ, OQ, and PQ. If the container manufacturer can demonstrate that the
     product has already passed an appropriate conformity assessment or that it has
     already been independently prequalified by a standard-setting organization such
     as the World Health Organization (WHO),6 the DQ stage is not required. In both
     these cases DQ will have formed part of a pre-purchase assessment process. If
     the system manufacturer is additionally able to supply a satisfactory OQ report,
     which meets the end-user’s needs, the OQ stage may also be dispensed with.
     1.2	        Objectives
     The objective of this technical supplement is to provide advice on how to ensure
     that shipping container systems meet the performance parameters defined in the
     URS with a high degree of certainty and repeatability.
     1.3	        Target readership
     This document is intended for use by anybody who is responsible for maintaining
     quality during the process of assessing, procuring and using TTSPP shipping
     container systems.
      	See: http://apps.who.int/immunization_standards/vaccine_quality/pqs_catalogue/categorypage.
     6
       aspx?id_cat=18
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         These parties need to appreciate the importance of temperature stability
for pharmaceutical products, have a sound working knowledge of applicable
logistics and transportation methods within their organizations, and understand
the basic concepts of packaging thermodynamics.
         Those who are responsible for conducting qualification testing must
be capable of operating the equipment necessary to complete the tests and be
familiar with, and follow, good laboratory documentation practices.
                                                                                             13
      WHO Expert Committee on Specifications for Pharmaceutical Preparations
     2. Guidance
     It is most likely that the users of this document will be assessing the performance
     of an existing “prequalified” packaging system. Section 2.1 gives a brief
     introduction to all three types of qualification – DQ, OQ and PQ. The remainder
     of the guidance section focuses principally on PQ. However, if a DQ and OQ
     have not been completed, it is the responsibility of the user to complete these
     two stages before proceeding to the PQ. In all cases, a URS must be written and
     approved before testing takes place. Any deviations from the test protocols must
     be documented as an “exceptional condition”.
     2.1	     The three stages of qualification
     Before any qualification stage is begun, carry out a risk assessment to identify the
     environmental conditions and the distribution lanes through which the proposed
     container will travel. This process helps ensure that the proposed qualification
     procedure will match the intended use. Consider the anticipated scenarios when
     deciding on the qualification temperature ranges.
             Full details of the packaging assembly must be defined, tested and
     documented for each of the three stages of the qualification process. These
     details include the thermal conditioning regime for system components
     and the products being transported, product loading arrangements and the
     location of temperature monitor(s). Test dates should also be recorded in all
     qualification reports.
             It is strongly recommended that both minimum and maximum product
     loads are tested at each stage. The test loads should be chosen to represent the
     products which will be transported. In most cases the lowest thermal mass
     products are the ones most susceptible to temperature change. Accordingly, the
     minimum load in a test should represent a shipment of a minimum quantity of
     the lowest thermal mass product and the maximum load should represent a full
     payload of this same product.
             Qualification must also take account of the transport route(s) and modes
     of transport and the anticipated ambient temperature profile over the duration of
     transport. Transport time is measured from the time the completed package is
     closed and sealed at the point of departure, until the package is opened at the
     point of arrival in the recipient’s temperature-controlled store.
     2.1.1	   Design qualification
     All new shipping container systems must successfully meet the predefined
     acceptance criteria set out in an approved DQ protocol or project scope document.
     In the case of a system that is already prequalified, it will only be necessary to
     repeat the DQ stage if the system specifications do not appear fully to meet the
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requirements of the end-user’s original URS. This URS should clearly define
product load specifications, ambient temperature profiles, shipping duration, and
allowable product temperature range. Other performance characteristics may
also need to be included in the document.
        DQ takes place under laboratory-controlled conditions against an
approved DQ protocol. This protocol defines the tests needed to evaluate
basic design requirements, constraints and suitability for use. Any deviations
from the protocol must be documented as an “exception condition”. At a
minimum, the following list of packaging configurations should be tested unless
otherwise specified:
          a.	   one heat profile, maximum product load;
          b.	   one heat profile, minimum product load;
          c.	   one cold profile, maximum product load; 7
          d.	   one cold profile, minimum product load.
        The purpose of these tests is to collect enough evidence to establish
that the container design concept is sound and to justify moving on to the OQ
stage. OQ should not take place until the DQ stage is satisfactorily completed
including simulated transport stress tests (vibration and drop), which are a
required part of DQ.
2.1.2	   Operational qualification
As with the DQ stage, an OQ may not be required when a prequalified
shipping system is used. In such cases, an OQ report can often be provided
by the container system supplier, either free of charge, or for a fee. However,
if a prequalified shipping system OQ report is relied upon, no substitutions or
modifications to the design or packaging can be made and the performance of
the system as set out in the report must demonstrably meet or exceed all the
specifications in the end-user’s URS.
         If substitutions or modifications to the design or packaging are made
an OQ must be carried out; there may also be other reasons to justify the need
for an OQ. OQ is carried out under laboratory-controlled conditions and the
OQ protocol must clearly define the packout arrangements and the acceptance
criteria for the shipping system(s) to be qualified. As a minimum, the protocol
must define the following test criteria as derived from the initial risk assessment
exercise: transport duration, acceptable temperature range, payload details,
ambient temperature profiles, location of temperature monitoring devices,
 	Products that can safely be shipped frozen do not need cold profile testing.
7
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      WHO Expert Committee on Specifications for Pharmaceutical Preparations
     location of refrigerant, and refrigerant conditioning specifications. Other test
     criteria may also need to be included – for example transport and stress tests
     (vibration and drop) – and the OQ protocol must be approved by all stakeholders
     before qualification testing takes place. To demonstrate repeatable performance
     the OQ tests must be carried out in triplicate and must successfully meet the
     acceptance criteria in every one of these tests.
              When the OQ is complete, prepare a final report; this should document
     the test performance and compare the results with the acceptance criteria set
     out in the OQ protocol.
     2.1.3	   Performance qualification
     The final stage of qualification – the focus of this document – is the PQ; this
     stage is mandatory in all cases, except where every shipment on every route is
     monitored. PQ is conducted as a field test in the real operating environment.
     A PQ protocol must be developed to document the process and define the
     acceptance criteria; these criteria should be similar to those defined in the DQ
     and OQ protocols. The PQ protocol should be representative of existing shipping
     operations and must include:
               ■■   the number of “ship-to” locations;
               ■■   the number of “ship-from” locations;
               ■■   the number of shipments to be tested;
               ■■   the time of year the shipments are to occur.
             As with the OQ, PQ tests must be performed three times, and must
     successfully meet the acceptance criteria in every instance, in order to demonstrate
     repeatable performance. Once the PQ is complete, prepare a final report which
     documents the test results and compares them with the PQ acceptance criteria.
     2.1.4	   Re-qualification of reusable container systems
     Reusable shipping container systems, with and without interchangeable parts,
     should periodically be re-qualified to ensure that the thermal performance has
     not been adversely affected as a result of age, change in chemical properties,
     physical damage, off-gasing, evaporation of temperature stabilizers, or other
     potential performance loss. Generally, this re-qualification process is user-
     defined; typically it is done on annually, on the basis of a risk assessment, or when
     there is some significant change in transport operations.
     2.2	     Associated materials and equipment
     Below is a list of the minimum equipment required to perform a DQ, OQ or
     PQ qualification.
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2.2.1	   Test equipment for design and operational qualifications
This DQ and OQ list is primarily for information purposes. It can be used to
check that the correct equipment has been used for testing prequalified containers
that are put forward for PQ.
          ■■ Thermal test chamber(s) of sufficient size to accommodate the
             package(s) being tested. The chamber(s) must be capable of
             simulating ambient temperatures within the required ambient
             temperature profile ranges and able to condition components;
             both within a tolerance of ±3 °C.
          ■■ A multi-channel temperature data logger with a sufficient quantity
             of thermocouples capable of producing a permanent record of
             temperature and elapsed time with an acceptable operating
             tolerance of ±0.5 °C for temperatures > −18 °C and ±0.8 °C for
             temperatures ≤ −18 °C;
             or a portable electronic temperature data logging monitor (EDLM)
             capable of producing a permanent record of temperature and
             elapsed time with an acceptable operating tolerance of ±0.5 °C, over
             a temperature range approximately between −20 °C and +50 °C.8
          ■■ Calibration bath – for thermocouple verification.
          ■■ Weighing scale with an accuracy of ±5% of the gross container weight.
          ■■ Packaging materials.
        Other equipment may also be needed for testing package robustness,
resistance to vibration and the like.
2.2.2	   Test equipment for performance qualification
          ■■ Portable electronic temperature data logging monitors (EDLMs)
             capable of producing a permanent record of temperature and time
             elapsed with an acceptable operating tolerance of ±0.5 °C, over a
             temperature range approximately between −20 °C and +50 °C.
          ■■ Complete packout configurations.
        Wherever possible, use the same equipment for the PQ tests as is used
for the OQ tests.
 	The accuracy of EDLMs that use thermistors as a means of determining temperature is less at the outer
8
  limits of their operating range. It is acceptable to have wider tolerances for temperatures outside this
  range: e.g. ±0.8 °C for temperatures ≤ −18 °C, or ±2 °C for temperatures below −40 °C (dry ice shipments).
                                                                                                               17
      WHO Expert Committee on Specifications for Pharmaceutical Preparations
     2.3	     The performance qualification test protocol
     A PQ protocol details the field testing procedures needed to verify the results
     of an OQ in the intended distribution environment. A comprehensive protocol
     should include the following sections:
     2.3.1	   Protocol title
     Describe the project in the main title of the form. In the subtitle identify the
     test container, test product, temperature range, duration and any other unique
     information. Make it clear that this is a PQ protocol.
     2.3.2	   Protocol approvals
     List the project stakeholders. Include company, position, space for signatures,
     and dates.
     2.3.3	   Introduction
     Briefly describe the packaging configuration and the acceptance requirements
     of the test system. Define all abbreviations used in the protocol and provide a
     glossary of technical terms if needed.
     2.3.4	   Purpose
     The purpose statements should begin with the words: “the purpose of this xxx
     protocol is…” followed by a brief description of why the protocol was written
     and what information the document contains. Include details of the test
     container, product loads, coolants, temperature range, and duration.
     2.3.5	   Scope
     Describe the qualification strategy, how the testing will be performed and how
     the data will be represented. This should include full details of the test container,
     minimum and maximum product load specifications, and the number of tests
     to be performed against which ambient profiles.
     2.3.6	   Acceptance criteria
     Define the required product temperature range and minimum required transport
     duration. Any applicable product temperature excursions and other design
     priorities or constraints must also be defined.
     2.3.7	   Responsibilities
     List the personnel or groups responsible for protocol writing, execution, testing,
     sampling, report writing, and approval. If a contract testing facility is to be used,
     identify the facility in this section.
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2.3.8	   Test procedure
Describe the necessary step-by-step procedures used to perform the PQ:
         a.	   unique test number identification;
         b.	   equipment and materials – list all items used;
         c.	   list all test material preparation or conditioning requirements;
         d.	   identify test equipment – include applicable calibration certificates;
         e.	   describe the packout details;
         f.	   describe temperature monitoring or thermocouple probe placement;
         g.	   include isometric drawings, graphics or photographs as needed to
               describe packouts, location of EDLMs and the like;
         h.	   define the frequency of data recording;
         i.	   include shipping and receiving documents, when applicable;
         j.	   provide a signature log for all personnel who perform, verify, or
               review the protocol;
         k.	   record packout start-time, weight, and end-time on a worksheet;
         l.	   record monitor location, test date, ship-to and ship-from locations
               and end-time.
2.3.9	   Data analysis
Define how the data generated from the testing will be interpreted. This includes:
         ■■ Equilibration duration – the time required by the shipping container
            system to reach the required temperature before shipment.
         ■■ Temperature of the product during testing gathered from the EDLMs.
         ■■ Total time during which product remains within the required
            temperature range (in hours and minutes)
         Record all temperature data in degrees Celsius.
2.4	     The performance qualification test
A PQ uses actual field shipments to verify that the DQ and OQ processes are
representative and can effectively and consistently provide reproducible results.
Carrying out a proper PQ can take from several weeks up to several months. This
period depends on the quality of the test protocol design, the test parameters, and
the number of tests performed.
        At least three tests per shipping container are required for both the
minimum and maximum product payload. At a minimum, each series of
tests should be conducted during the warmest and coolest part of the year.
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         WHO Expert Committee on Specifications for Pharmaceutical Preparations
     Additional tests can be conducted at other times during the year, or whenever
     new containers are being considered for adoption. If the test container is to be
     used on multiple routes, determine and choose the worst-case shipping lane and
     transport method; this will expose the container system to maximum stress in
     terms of temperature and duration.
             Table 1 gives an example of a test schedule with one container type,
     two packaging configurations and two temperature profiles; this combination
     requires a minimum of 12 tests to be performed. The number of tests needed
     increases significantly with each added variable. It is therefore wise to minimize
     the number of container sizes and the variability in packing configurations.
     Table 1
     Example of a test schedule
         Ambient profile                Load configuration                        Test number
                                                                                  Test 1-1
                                        Minimum product load                      Test 1-2
                                                                                  Test 1-3
         Hot profile
                                                                                  Test 2-1
                                        Maximum product load                      Test 2-2
                                                                                  Test 2-3
                                                                                  Test 1-1
                                        Minimum product load                      Test 1-2
                                                                                  Test 1-3
         Cold profile
                                                                                  Test 2-1
                                        Maximum product load                      Test 2-2
                                                                                  Test 2-3
                 The principal steps in the PQ testing process are as follows:
                 a.	 For each season (summer and winter or hot season and cold season),
                     identify representative “ship-from” locations.9 For each of these
                     departure points identify the “ship-to” location that provides the most
                     challenging shipping route. Use these locations for the PQ study.
      	See Technical Supplement: Transport route profiling qualification.
     9
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                Typically, the chosen routes will include those combining the longest
                duration with the most extreme temperatures, both hot and cold.
          b.	   Once the worst-case shipping lanes are defined, list these in the
                PQ protocol for future reference, together with the justification for
                their selection.
          c.	   Wherever possible, use actual product as the payload for PQ
                testing. Another option is to use expired samples of the real product
                because this eliminates the risk of damage to potent, in-date
                TTSPPs. If real or expired product is not available, use a suitable
                and representative payload substitute. The substitute payload should
                have a similar thermal mass, freezing point and packaging as the
                actual payload.10
          d.	   Before conducting each test, condition the payload at its standard
                storage temperature for the minimum time needed to achieve a
                uniform temperature throughout the payload (e.g. +2 °C to +8 °C
                for 24 hours). The conditioning equipment being used should
                be able to maintain the temperature set point within ±3 °C and
                the conditioning process should be monitored and documented to
                ensure compliance.
          e.	   At the same time condition the temperature stabilizing medium in
                accordance with an approved SOP or according to the container
                manufacturer’s instructions. The conditioning equipment being used
                should be able to maintain the temperature set point within ±3 °C.
          f.	   Use portable EDLMs to acquire the temperature data during the test.
                The logger(s) should be calibrated (National Institute of Standards
                and Technology (NIST) traceable) and have a valid calibration
                certificate; this certificate should be included in the final report. The
                resolution of the logger(s) should be 0.1 °C or better. The accuracy
                should be ±0.5 °C, over a temperature range approximately between
                −20 °C and +50 °C.11
          g.	   Programme the EDLMs so that the maximum temperature-
                recording interval is no greater than 30 minutes (5 or 10 minutes
                is better). The logger’s sensor response time should be less than
                the chosen recording interval and the device should have sufficient
                memory to hold all recorded data for the entire shipment at the
                chosen recording interval.
   This could be a low-value “placebo” product chosen to reduce the risk of financial loss.
10
   See footnote 10 above.
11
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     WHO Expert Committee on Specifications for Pharmaceutical Preparations
             h.	 Precondition the EDLMs at the standard storage temperature (see d.
                 above). An alternative approach is to activate the EDLM’s “delayed
                 start” function so that the device does not begin recording until it
                 has cooled down to the temperature of the payload.
             i.	 Use a minimum of one interior payload EDLM and one external
                 ambient EDLM for each test. The payload EDLM(s) should be
                 positioned to capture temperature variation or temperature
                 stratification within the payload space. Multiple loggers may be
                 needed to achieve this.
             j.	 Place the interior EDLMs in direct contact with the payload
                 whenever possible. If a single logger is used it should be located in
                 the spot most susceptible to failure; in many cases this is likely to be
                 a top corner of the payload. If OQ test data are available, consult
                 the OQ report to determine the most susceptible locations. The
                 exterior logger should be positioned so that the logger’s sensor has
                 reasonable, unobstructed access to the ambient air while taking
                 into account the need to protect the device from damage during
                 shipment. This can be used to correlate air to product temperature
                 data by referring back to the OQ testing from the PQ results.
             k.	 Pack each shipping container in accordance with the manufacturer’s
                 instructions, or in the same manner that the product was packed in
                 the OQ (if applicable).
             l.	 After proper conditioning, place the temperature stabilizing medium
                 and the test payload into the payload space. Secure the interior
                 EDLM(s) in the predetermined location(s). Tape the devices in
                 position so that they cannot shift during transit. If required, insert
                 non-insulating dunnage before closing the container to prevent the
                 payload from shifting in transit. Attach and secure the external
                 ambient logger in the predetermined location. The readings
                 from this device enable the analyst to identify how the ambient
                 temperature profile relates to any temperature excursions that may
                 occur in the payload.
             m.	Seal the container with packaging tape (or tamper-evident tape) and
                ship along the predetermined route.
             n.	 In addition to monitoring thermal performance, the PQ should
                 include a visual inspection of the physical condition of the container
                 at the destination. The container should show no sign of damage or
                 deterioration at the point of arrival. Physical damage may adversely
                 affect thermal performance, product handling, storage or safety.
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        o.	 A PQ worksheet should be completed for each individual container
            system. This should document the preconditioned refrigerant and
            product loads, the time at which the container system was fully
            packed and sealed, the serial number of the EDLM(s), the package
            weight (net and gross), and the shipment tracking number.
        p.	 Provide clear instructions to the individual(s) responsible for
            receiving the container. These instructions should fully describe
            any post-test analyses and give instructions on downloading and
            distributing the temperature data obtained from the EDLM(s).
        q.	 When the PQ shipping studies are complete, analyse the
            temperature data and other information collected and determine
            whether the acceptance criteria, defined by the PQ protocol, have
            been met.
        r.	 Compile a final report which details the findings of the study. Refer
            to section 2.5 for information on what to include in this report.
         It is recommended that a PQ study should be repeated on a risk-based
frequency cycle. In addition, carry out periodic monitoring to determine the
need for additional PQ. This helps give assurance that there have been no
changes to the distribution lanes used for the transport of the temperature-
sensitive products. Any such changes may impact the temperature performance
of the load.
         Re-qualification should be considered whenever there are changes to
components, shipping routes or shipping duration.
2.5	   The performance qualification report
The PQ report should summarize the test data and performance characteristics
established during qualification testing and provide conclusions based upon
these data. The report should include a copy of the test protocol with signature
log, complete equipment list, and material specifications. In addition, it should
include test graphs, complete test worksheets, all testing data, equipment
calibration certificates, and any applicable deviation reports.
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      WHO Expert Committee on Specifications for Pharmaceutical Preparations
     Bibliography
     ■■ American Society for Testing and Materials (ASTM) D3103; Standard test
        method for thermal insulation quality of packages. Conshohocken (PA):
        ASTM; 2014 (http://www.astm.org/Standards/D3103.htm).
     ■■ International Society for Pharmaceutical Engineering (ISPE) good practice
        guide: Cold Chain Management. Tampa (FL): ISPE; 2011
        (http://www.ispe.org/ispe-good-practice-guides/cold-chain-management,
        accessed 25 March 2015).
     ■■ International Safe Transit Association (ISTA) Standard 20; design and
        qualification of insulated shipping containers. East Lansing (MI): ISTA; 2014
        (http://www.ista.org/pages/procedures/ista-standards.php, accessed 25 March
        2015).
     ■■ Parenteral Drug Association (PDA) Technical Report No. 39 (revised 2007):
        guidance for temperature-controlled medicinal products: maintaining the
        quality of temperature-sensitive medicinal products through the transportation
        environment. Bethesda (MD): Parenteral Drug Association; 2007
        (https://store.pda.org/ProductCatalog/Product.aspx?ID=1270, accessed 25
        March 2015).
     ■■ World Health Organization. Model guidance for the storage and transport
        of time- and temperature-sensitive pharmaceutical pharmaceuticals. In:
        WHO Expert Committee on Specifications for Pharmaceutical Preparations:
        forty-fifth report. Geneva: World Health Organization; 2011: Annex 9
        (WHO Technical Report Series, No. 961; http://apps.who.int/medicinedocs/
        documents/s18683en/s18683en.pdf, accessed 10 February 2015).
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                                                             Supplement 13
Revision history
Date    Change summary   Reason for change              Approved
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